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Recanalization of occluded right innominate vein in presence of a persistent LeVeen shunt: A vascular access rescue case.
Vascular
December 2024
Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padova, Italy.
Background: Superior vena cava syndrome (SVCs) is a common complication in hemodialysis patients due to central vein occlusions, often caused by prior catheterizations. Management can be challenging.
Objective: To describe a successful endovascular approach to managing SVCs caused by right innominate vein (RIV) occlusion in a hemodialysis patient with a non-functional LeVeen shunt.
Microcatheter tip fracture and acute vessel occlusion rescued with subintimal tracking and re-entry: Move the tip.
Catheter Cardiovasc Interv
November 2024
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Article Synopsis
- The rise of advanced microcatheters has improved the success rates of complex heart procedures, but their use can lead to significant complications.
- A case study highlighted a serious incident where a Turnpike Spiral catheter tip fractured, causing a blockage in the right coronary artery despite its tortuous and calcified nature.
- To resolve the blockage, a specialized technique called antegrade dissection and re-entry was used, successfully restoring blood flow and avoiding a heart attack by placing stents after navigating around the fractured tip.
[Endovascular Treatment of Delayed Cerebral Vasospasms].
No Shinkei Geka
September 2024
Department of Neurosurgery, Hokkaido University Graduate School of Medicine.
Delayed cerebral vasospasm is a major complication following subarachnoid hemorrhage and a primary cause of delayed cerebral ischemia. While various preventive treatments exist, some patients still develop severe vasospasm, highlighting the need for better rescue therapies. This article explores endovascular treatment as a rescue option for vasospasm, focusing on the clinical characteristics and roles of intra-arterial vasodilator injection therapy and percutaneous transluminal angioplasty(PTA).
View Article and Find Full Text PDFInnovative wire stripper technique for rescue balloon angioplasty after failed thrombectomy in acute ischemic stroke: A case report.
Asian J Surg
September 2024
Department of Ophthalmology, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China. Electronic address:
Drug-coated balloon angioplasty with rescue stenting versus intended stenting for the treatment of patients with de novo coronary artery lesions (REC-CAGEFREE I): an open-label, randomised, non-inferiority trial.
Lancet
September 2024
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi'an, China. Electronic address:
Background: The long-term impact of drug-coated balloon (DCB) angioplasty for the treatment of patients with de novo coronary artery lesions remains uncertain. We aimed to assess the non-inferiority of DCB angioplasty with rescue stenting to intended drug-eluting stent (DES) deployment for patients with de novo, non-complex coronary artery lesions.
Methods: REC-CAGEFREE I was an open-label, randomised, non-inferiority trial conducted at 43 sites in China.
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